International Journal of Sexual Health

"It's a Big Ordeal": A Mixed Methods Study of the Experiences of non-HIV STI Testing Among Trans and Gender Diverse People
Lacombe-Duncan A, Kattari SK, Emrick R, Alexander F, Kluger H, Kattari L, Niedzwiecki A, Scheim AI and Misiolek BA
Transgender and gender diverse (TGD) persons are disproportionately affected by sexually transmitted infection (STI) inequities. Research predominantly focuses on HIV disparities among transfeminine persons, whereas non-HIV STIs (e.g., chlamydia) and transmasculine and nonbinary persons are overlooked. Thus, we examined barriers and facilitators to uptake of non-HIV STI testing among TGD persons, inclusive of transmasculine, transfeminine, and nonbinary persons.
Emotion Regulation Difficulties and Sexual Motivation Associated with Faking Orgasm among Hungarian Women
Meskó N, Csányi E, Inhóf O and Zsidó AN
Faking orgasm is a common yet psychologically complex behavior among women, shaped by both emotional vulnerabilities and sexual motivations. This study examined the psychological correlates of faking orgasm in two sexual contexts-vaginal intercourse and oral sex-focusing on difficulties in emotion regulation and sexual motivation.
Young People's Trust in Digital Sexual Healthcare: A Narrative Review
Woodward N, Buckley L, Dean JA and Fowler JA
Trust has been identified as a key factor associated with supporting access to sexual health interventions and digital healthcare. We aimed to explore and synthesize factors that may cultivate trust for young people (10-24-year-old) when accessing digital sexual healthcare.
Evaluation of the Effectiveness of Sexual and Reproductive Health Education Given to University Students: A Randomized Controlled Trial
Öz T, Arslan Tarus H, Ölmez Yalazı R and Demirci N
Young people in the university period, known as the transition phase from adolescence to adulthood, are at serious risk in terms of risky sexual behaviors (first sexual intercourse, use of contraceptives, sexually transmitted infections, unwanted pregnancy, maternal mortality, sexual violence). The fact that young people actively use social media and have not received adequate sexual and reproductive health education until the university period is an indication that they are a risky group in terms of sexual and reproductive health when they enter university. It is difficult to access accurate, complete and effective information through digital means, both on social media and other platforms. This study was conducted to evaluate the effectiveness of sexual and reproductive health education methods given to university students.
A Systematic Review of Trauma-Informed Sexual Health Education Interventions for Adolescents and Young Adults Within the United States and Canada
Evans-Mitchell GS, Sacca L, Markham C, Schultz K, McCurdy S, Tingey L and Peskin MF
To systematically identify and critically examine trauma-informed sexual health education interventions developed for adolescents and young adults and describe how they integrate key principles of a trauma-informed approach.
How to Define Sexual Health? A Qualitative Analysis of People's Perceptions
Manão AA, Brazão M and Pascoal PM
Sexual health is an essential aspect of overall health that affects an individual's physical, psychological, and social well-being. Understanding people's perceptions of sexual health is essential because it can impact their sexual health-related behaviors, namely, their interactions with health services, campaigns, information, and policies. Furthermore, these perceptions may have a systemic impact, as public health policies related to promoting sexual health can be influenced by social factors. Such perceptions may also influence individuals' sexual expression and interactions with sexual partners. Thus, an understanding of people's perceptions of sexual health can facilitate the appropriate seeking of sexual healthcare, inform professional interactions with patients and the community, and guide policymakers in the promotion of it.
The Satisfaction of Women's Orgasms: The Relationship Between Women's Orgasmic Pleasure and Sexual Relationship Satisfaction in Aotearoa/New Zealand
Janssen AK, Csako RI, Rowland DL and Hevesi K
Orgasms have become a symbol of successful sex in modern society. It is common knowledge that women's orgasms can be elusive in heterosexual partnered sex. To ascertain the impact of this disparity and to better understand women's sexuality for clinical applications, this study explores the relationship between women's orgasms and their relationship satisfaction in Aotearoa/New Zealand.
Characterization of Knowledge, Attitudes, Comfort, and Perception of Discrimination Regarding Sexual and/or Gender Minoritized People: Comparison Between Two Cohorts of Medical Students - 2018-2023
Macedo A, Ferreira J, Gutierrez AR and Gato J
Despite progress made in the medical field to address the health concerns of sexual and gender minoritized identities, LGBTQIA+ individuals continue to experience discrimination in healthcare. This study aims to evaluate the effects of incorporating a seminar on gender identity and sexual orientation into the medical curriculum of a Portuguese Medical School, after 5 years. The study's main objective was to compare the changes in students' knowledge, attitudes, comfort, and perception of discrimination against LGBTQIA+, pre and post-intervention.
Digital Platforms and Educational Tools for Enhancing Menstrual Health: A Scoping Review
Jimenez S, Lent A, Kaleem S, Eldawy N, Mendonca J, Etzel M, Brinzo P, Burgoa S, Zerrouki Y, Follin T, Mejia M, Kitsantas P and Sacca L
Menstruating individuals have the right to access proper menstrual health education and hygiene practices. However, many of these individuals experience period poverty, which is defined as the lack of access to safe and hygienic menstrual products, basic sanitation services, adequate waste disposal systems, and menstrual hygiene education. Although the negative effects of period poverty on the physical, social, and mental well-being of menstruating adolescents have been emphasized and reported as a major public health issue, there remains a gap in research exploring the impact of evidence-based digital menstrual health educational tools on improving overall health outcomes and mental well-being of menstruating individuals. This scoping review aims to address this gap in period poverty and menstrual health research by exploring the availability of online educational intervention and digital platforms on menstrual health.
Individual and Environmental Predictors of Problematic Internet Use Among Young Adult Lesbian, Gay, and Bisexual Individuals: A 4-Year Follow-up Study
Wang PW, Chang YP, Chen YL and Yen CF
This 4-year follow-up study examined whether individual factors and environmental factors at baseline predict problematic internet use (PIU) four years later among young adult lesbian, gay, and bisexual (LGB) individuals and the mediating effect of PIU at baseline.
"Seeing Is Believing": Identifying the Sexual and Reproductive Health Priorities of Adolescent Girls and Young Women in Freedom Park, South Africa Through an Adapted Body Mapping Approach
Stevens-Uninsky M, Gallant N, Chatting T, DiLiberto DD, de Souza R and Mbuagbaw L
This study uses a decolonized research approach to identify the sexual and reproductive health (SRH) priorities of adolescent women living in Freedom Park, Cape Town, South Africa. The history of colonialism and apartheid has a significant ongoing impact on the SRH of women in the community. The objectives of the research were for adolescent women to create a shared definition of SRH and identify SRH needs and priorities.
Older Adults' Behaviors and Preferences for Seeking Sexual Health Information
Bourchier L, Bittleston H, Malta S, Temple-Smith M and Hocking JS
Sexual expression is important to many older adults, but this population may be overlooked by sexual health campaigns and services. This study sought to understand the sexual health information-seeking behaviors and preferences of older adults, including whether and where they seek this information, the characteristics associated with seeking it, as well as satisfaction, preferences, and reasons for not seeking it.
Social Representations of Sexual Assistance Services for People with Physical Disabilities in the Context of Portugal
Pinho AR, Carvalhaes S, Rodrigues L, Peixoto MM, de Oliveira JM and Nogueira C
The purpose of this study is to understand social representations of the Portuguese population regarding sexual assistance services for people with physical disabilities.
Too Little Too Late: Perceptions of Sexual Health Education in Spain
García-Barba M, Elipe-Miravet M, Byers ES and Brassard A
Despite the importance of school-based sexual health education (SHE) for enhancing sexual health outcomes, little is known about the SHE youth receive in Spain.
Psychosocial Phenotype and Risky Sexual Behavior Among People Living with HIV in Changsha: A Latent Profile Analysis
Lu Q, Li Y, Qin Z, Duan Y, Wang H and Xiao X
This study aimed to explore the psychosocial phenotype and its association with risky sexual behavior to deepen the understanding of the mechanisms of risky sexual behavior (RSB) among people living with HIV.
Substance Use and Risky Sexual Behavior Among Adolescents: A Cross-National Clustered Analysis of 35 European and North American Countries
Safo Oduro M, Adeleye KK, Agyemang-Duah W and Peprah P
Adolescents, comprising about 16% of the global population, experience unique challenges during their transition to adulthood, which can be marked by substance use and risky sexual behaviors. Two key gaps exist in previous studies investigating substance use and sexual behaviors among adolescents including: (1) lack of stratified analysis based on sex; and (2) the use of broader or composite term/variable 'substance use'. This study sought to address these gaps by investigating the association between specific substances, including alcohol, cigarette, and cannabis and risky sexual behavior for adolescent boys and girls in 35 countries across Europe and North America.
Sexual Activity and Sexual Well-Being Among Sober Adults: The Role of Felt Sobriety Stigma
Moran JB, Masterson AP, Eaton C, Rohleen TK and Hone LSE
To explore the relationship between experiences of stigma and sexual activity and sexual well-being among sober individuals.
Sexual Desire Among Men Who Have Sex with Men in the Czech Republic: A Cross-Sectional Study
Sekera JC
This study aimed to examine sexual desire among men who have sex with men (MSM) in the Czech Republic using the Sexual Desire Inventory-2 (SDI-2) and to identify differences based on sociodemographic and behavioral characteristics.
Effectiveness of Cartoons, Comics, and Animation-Based Sexual Health Promotion and Education Interventions: A Scoping Review
Abu-Ras W, Idris LB and Aboul-Enein BH
Sexual health education is crucial for promoting healthy sexual behaviors among people of all ages. Interventions involving cartoons, comics, and animations have emerged as effective tools due to their engaging and accessible nature. This scoping review explores the effectiveness of these interventions across different time frames and age groups.
Moving Beyond "Risky Behavior": A Qualitative Interview Study Exploring Geosocial Networking App Use by Sexual Minority Men and Women in the UK and USA
Madden HCE, Timpson H, Breny JM, Hope VD and Porcellato L
Research on use of geosocial networking (GSN) applications (e.g. Grindr, Tinder) by sexual minorities has primarily focused on risky behavior and negative health outcomes (e.g. sexually transmitted infections/HIV, drugs, alcohol, violence) among men who have sex with men. Taking a sex-positive approach, this study aimed to understand how sexual minority GSN app users in the UK and USA perceive impacts on their health and how they manage potential risks. Differences between countries and genders are explored.
Unveiling Risk: Marital Deception and HIV Susceptibility Among Married Women in Indonesia
Najmah N, Andajani S, Davies TG and Davies SG
The Indonesian Ministry of Health reports a significant three-fold increase in newly diagnosed HIV cases among women aged 15 and above, rising from 12,537 cases in 2015 to 35,415 in 2024. Over the past decade, the largest group of new HIV cases in Indonesia has been among women of reproductive age (15-49 years). This trend is largely driven by the widely held and fallacious belief that heterosexual, married women are not at risk of HIV. In this study we aim to challenge this misconception and investigate the complexity of HIV transmission, with a focus on HIV susceptibility among married women in Indonesia.
The Sacred, the Sinful, and the Shamed: The Association Between Compulsive Sexual Behavior, Moral Disapproval, and Sexual Shame Among Jewish Religious Adolescents
Kaplan M, Lazter Y, Bőthe B and Gewirtz Meydan A
Compulsive sexual behavior (CSB) has recently been recognized as a possible disorder (CSBD) by the World Health Organization (ICD-11) and may affect a significant portion of adolescents. Yet the relationship between CSB, religious values, and sexual shame remains underexplored in this population. This study investigated how CSB, moral disapproval, and sexual shame intersect among Orthodox Jewish adolescents.
Sexual Quality of Life of Seniors Living in Long-Term Care Facilities: A Scoping Review
Giroux D, Fullerton N, Marin A, Auger LP, Pageau F, Beauchamp J, Godin SÉ and Latulippe K
Sexuality is a significant aspect of well-being throughout life. Unfortunately, numerous barriers hinder sexual quality of life (SQOL) of elderly residents in long-term care facilities. The goal of this review was to explore current knowledge on seniors' SQOL (issues and interventions), as well as existing practices aimed at supporting the intimacy and sexuality of elderly residents. Our first objective was to scope and synthesize current knowledge on barriers to SQOL, existing supporting interventions or strategies, and clinical practices pertaining to SQOL in long-term care facilities. Our second objective was to identify the most promising interventions that could be applied in a Québec context.
Trajectories of Chemsex Engagement Across Time Among PrEP-Using Men Who Have Sex with Men: Results from the French ANRS-Prévenir Cohort
Sietins E, Sagaon-Teyssier L, Sow A, Assoumou L, Mora M, Beniguel L, Rojas-Castro D, Michels D, Jones JC, Ghosn J, Costagliola D, Spire B, Roux P, Molina JM and Protiere C
To identify trajectories of chemsex engagement and their evolution across time among men who have sex with men (MSM) and the associated factors.
Barriers to HIV Care among Transgender Sex Workers of Colour in the USA and Canada: An Intersectional Scoping Review
Ramnarine J
In 2018, HIV prevalence among transgender women of color in the USA was 14.11%, with similar severe trends observed in Canada. This highlights the persistent challenge of HIV/AIDS in both countries, particularly for transgender sex workers of color (TSWOC), who face significant barriers to accessing crucial HIV/AIDS care services due to stigma, systemic discrimination, and biased healthcare practices. To address these issues, a scoping review was undertaken to explore the specific barriers to HIV/AIDS care experienced by TSWOC in the United States and Canada.
Male Responses to Female Partners with Genitopelvic Pain/Penetration Disorder: A Systematic Review of Biopsychological Impacts and Coping Strategies
Pakpahan C, Lionardi S, Putri Handini L, Lionardi SK, Alvianto S, Rinaldi FX and Fontana A
Healthy relationships rely on emotional, physical, and sexual connections, but genitopelvic pain/penetration disorder (GPPPD) can render intimacy difficult for affected couples. This condition also affects the psychological and sexual well-being of male partners, which frequently leads to feelings of rejection and frustration that can further strain relationships. To effectively support couples, understanding how male partners are impacted by and cope with their partner's GPPPD, the focus of this study, is crucial.
The Meaning of Sexual Well-being Among LGBTQ+ People in the Netherlands Using the Framework of Mitchell et al
Kromojahjo LDS, Vijlbrief A and Cense M
This qualitative study aims to explore the meaning of a sexual well-being framework among LGBTQ+ people in the Netherlands.
Implementation of Sexual and Reproductive Health Education Policy in Schools in Asia and Africa: A Scoping Review
Khosla R and Tzortziou Brown V
This review aimed to map and synthesize existing literature on sex and reproductive education policy implementation in primary and secondary schools in Asia and Africa.
Online Health Information Seeking and Cyberchondria Among Men at Risk of HIV Infection: A Moderated Mediation Model
Guo Y, Wang Y and Li Y
This study investigates the relationship between HIV/AIDS-related online health information seeking (OHIS) and cyberchondria among Chinese men who have engaged in high-risk sexual behaviors. It proposes a moderated mediation model to explore the role of query escalation as a mediator and intolerance of uncertainty (IU) as a moderator in this relationship.
The Effect of Online Progressive Muscle Relaxation Exercises on Sexual Satisfaction and Function of Applied to Women with Low Sexual Satisfaction: A Randomized Controlled Study
Bilgiç FŞ and Yıldız Karaahmet A
Sexuality is influenced by a combination of psychological, emotional, and physiological factors, where sexual satisfaction is a key component. Progressive muscle relaxation exercises are commonly used to reduce anxiety and improve physical relaxation, but their impact on sexual satisfaction and function, particularly for individuals with low sexual satisfaction, has not been widely studied. This study aimed to investigate the effect of progressive muscle relaxation exercises applied to women with low sexual satisfaction on the sexual satisfaction and function of both the women and their partners.